Individual
KELLI LEANNE BURNS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8901 W GAGE BLVD, KENNEWICK, WA 99336-7148
(509) 735-1100
Mailing address
8901 W GAGE BLVD, KENNEWICK, WA 99336-7148
(509) 735-1100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60691972
WA
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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